| Serenity Psychiatric Outpatient, Llc | |
|
300 Rawls Dr Ste 900 Mccomb MS 39648-2864 | |
| (601) 684-8284 | |
| (601) 684-8199 |
| Full Name | Serenity Psychiatric Outpatient, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 300 Rawls Dr Ste 900, Mccomb, Mississippi |
| Authorized Official Name and Position | Kristi Stogner (PRESIDENT) |
| Authorized Official Contact | 6016848284 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Psychiatric Outpatient, Llc 300 Rawls Dr Ste 900 Mccomb MS 39648-2864 Ph: (601) 684-8284 | Serenity Psychiatric Outpatient, Llc 300 Rawls Dr Ste 900 Mccomb MS 39648-2864 Ph: (601) 684-8284 |
| NPI Number | 1881973642 |
|---|---|
| Provider Enumeration Date | 08/11/2011 |
| Last Update Date | 06/20/2022 |
| Certification Date | 06/20/2022 |
| Medicare PECOS PAC ID | 7911181805 |
|---|---|
| Medicare Enrollment ID | O20110914000274 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881973642 | NPI | - | NPPES |
| 05503121 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Thomas A Gonsalves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518173525 PECOS PAC ID: 4688577414 Enrollment ID: I20040218000810 |
| Provider Name | Kristen Bevill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841315546 PECOS PAC ID: 0244339430 Enrollment ID: I20070629000077 |
| Provider Name | Kristi M Stogner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922266311 PECOS PAC ID: 9931371598 Enrollment ID: I20111004000711 |
| Provider Name | Mary Jan Treadwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730183062 PECOS PAC ID: 8123086956 Enrollment ID: I20130927000329 |
| Provider Name | Christa L Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215416250 PECOS PAC ID: 5991040321 Enrollment ID: I20181213000180 |
| Provider Name | Lacey Holmes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821560319 PECOS PAC ID: 5597002188 Enrollment ID: I20190118002495 |
| Provider Name | Mary Lindsey Lumley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093329633 PECOS PAC ID: 3274944764 Enrollment ID: I20201207000444 |
| Provider Name | Margaret Arlene Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720661887 PECOS PAC ID: 8820445802 Enrollment ID: I20231116001296 |
Drlullaby, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1102a Delaware Ave, Mccomb, MS 39648 Phone: 844-475-3379 | |
Mccomb Neurology, Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 N Broadway, 2nd Floor, Mccomb, MS 39648 Phone: 601-249-2491 Fax: 601-249-2885 | |
Pathways Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1301b Harrison Ave, Mccomb, MS 39648 Phone: 601-600-2429 Fax: 601-600-2428 | |
Chris M Huff Lcsw Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 420 Delaware Ave, Mccomb, MS 39648 Phone: 601-209-6345 Fax: 601-835-3342 | |
Sw Ms Mental Health Mental Retardation Commission Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1701 White St, Mccomb, MS 39648 Phone: 601-684-2173 Fax: 601-249-4234 | |
Stephanie Spears, Lcsw, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Rawls Dr Ste 900, Mccomb, MS 39648 Phone: 601-730-4401 | |
Mccomb School District Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Elmwood St, Mccomb, MS 39648 Phone: 601-249-5138 |